Complaint Investigation Report

374602306-12-20-2024-18-AS-JDHS-DC9VRV-20241224154033

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

RIVERSIDE ASC , 1650 SPRUCE ST STE 200 MS29-27

This is an official report of an unannounced visit/investigation of a complaint received in our office on

02/16/2024 and conducted by Evaluator Armando Perez

COMPLAINT CONTROL NUMBER: 18-AS-20240216143614

Staff did not ensure facility is in good repair

Staff did not ensure residents had hot water

Staff did not ensure facility is in sanitary condition

Licensing Program Analyst (LPA), Armando Perez, arrived unannounced for a visit to deliver the findings for the above allegations. LPA met with Licensee, Mercedes Rubia, and explained the purpose of the visit. During the course of the investigation, LPA Jacqueline Shaw Ross initiated the complaint investigation on February 21, 2024 and interviewed staff, clients and obtained pertinent documentation. On December 12, 2024, LPA Armando Perez continued the investigation, conducted telephone interviews and requested documentation pertinent to the allegations.

On February 16, 2024, Community Care Licensing (CCL) received a complaint investigation alleging that staff did not ensure facility is in good repair, staff did not ensure residents had hot water, and staff did not ensure facility is in sanitary condition. It was reported that sewege water was overflowing from the septic tank, residents did not have access to hot water and the facility was not in sanitary condition.